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The conferences are over. VIVE and HIMSS went head to head and they were both good conferences in their own way. Now, what did I pickup in the over 50 interviews and various sessions that I attended? Today, I share some of my notes from the conference. I hope you enjoy.


Today in health, it we're going to do a conference post game. And I'm just going to give you some of the things that I learned, no particular order here, just going to put them out there. My name is bill Russell. I'm the former CIO for a 16 hospital system. And create, or this week health, a set of channels dedicated to keeping health it staff current and engaged.

We want to thank our show sponsors or investing in developing the next generation of health leaders. Gordian dynamics, Quill health tau site nuance, Canon medical, and Kern health. Check them out at this week. All right. I just, I jotted down some notes. I wanted to capture some of this and how I do that is through recording a show and putting it out there for you.

To, , comment on and give me feedback on. So here's some things, again, not in any particular order. I just jotted down some things from the last two conferences. As you know, I was at the five conference, did about 30 interviews there. And then at the HIMS conference did about, , 20 plus interviews.

There is well interacted with a lot of my peers in the industry. A lot of you, ,, some digital health professionals, , public health. , professionals as well. , A lot of conversations did not capture. In actual interviews. , and just, , talk to people about what's going on in healthcare.

All right. So no particular order top of mind. , blocking and tackling is top of mind. We just came through a frantic pace in the pandemic. And a lot of people are getting back to basics, optimizing the EHR. , establishing new protocols around work and how we work, , putting tele-health in place.

In a more permanent fashion and more on tele-health at a minute. , next thing I have in my notes is there are a few easy solutions for burnout. There's ideas, but there's no easy solutions. We did not put the infrastructure in place to address burnout three years ago. And some of the solutions we're looking at, , AI assisted, , models, , nuanced, Dax and things to that effect.

They take time to implement. So there's no like simple, quick fix. , easy solutions for physician burnout or the clinician. , shortage. , there are solutions out there and people are looking at them. I, again, I, I went to the nuance, Dax booth, and I'm always amazed at the progress that they're making. I talked to artists site and, ,

Fantastic new company. I like what they're doing. So there are solutions out there. There's just nothing that's quick. Right? There's nothing that you're going to just go back, sit in a room and go, boom. Here we go. We're going to. We're going to add. You know, productivity to our nurses and our clinicians, , overnight. So, , you know, second point third point, ,

AI is real. , you know, computer assisted medicine is real. I saw enough solutions that are viable, that I would be looking at putting an AI foundation in place in my health system. And figuring out which models made the most sense for us as a health system. So, , you know, AI assisted mammography was, , an interesting solution. I already mentioned artist site.

And computer vision and what they're doing there. , federated learning, , American college of radiology students, federated learning things on top of an AI model. So the interesting things I saw around AI and it is real granted, it's a buzz word, but I'm treated as a buzzword.

To your own peril. , it's real, it's moving. It's going to make a difference. In healthcare. So figure out what your infrastructure looks like and adopt that infrastructure. And by the way, don't just say we do AI in the cloud. , there's an architecture. Even if you do it in the cloud, there's an architecture you have to put in place and think through.

, work models are vast and changing. On the fly. It's amazing how many different work models we heard, how many different hiring mechanisms we heard in terms of, you know, are you hiring in a regional geography? Are you hiring in a national geography? Are you bringing your people back to work two days a week, three days a week. Are you bringing them back full time?

, the work models are vast. And, you know, that leads to another one of the points. Let me come down here in the list. , the competition for labor is very real. , especially within health, it cybersecurity. , data. , even analysts, , at the EHR level that the competition for labor is real.

And it is creating some real challenges for, , certain health systems. So, you know, work models are vast. Competition for labor is real. I think those two are connected and I will let you figure out what that looks like. I'm sure we'll talk about it more. As we get back. , through our interviews, by the way, we still have a ton of interviews to drop.

I just thought I'd get my notes out on this Friday morning. , data interoperability. Interesting conversations here. And again, this is going to be a bill Russell opinion. I think data interoperability inside the four walls of the health system has gotten better. And it's important that it gets better when you think about it, that interoperability is probably the most important inter-operability our patients generally come back to us. They go to different parts of the organization within the four walls of our health system. And when that data doesn't flow, , it's not a good situation and it's not only the data flowing, it's cleaner data that's flowing around. And when we get cleaner data, We're able to gain more insights. And create better population, health models and things that affect. And adopt AI models and those kinds of things. So we're cleaning up our data. We're doing better at interoperability within our four walls. That's step number one.

, granted we could all say, could have happened. It should have happened 10 years ago, five years ago during meaningful use, whatever. It doesn't really matter. The fact that it's happening now is great. And that will set us up for a adopting all the regs that are coming down the pike for 21st century chairs and making sure that that data moves.

, around. And now when I say that people immediately gravitate towards the EHR, all, we could always move our EHR data around there, but anyone who's been in the CIO chair knows that, , only a portion of the data resides in the EHR. There's a significant amount of data that resides outside the EHR.

And now we're starting to see all that data come together. Not only that we're starting to figure out how to bring in. Some of the, , social determinants of health data, and some other factors that contribute to health. And we're integrating that into the record and getting that. In front of the clinician or the, , social services or the care team.

So that they can provide the best care possible. So we're seeing some of those solutions start to evolve and I look forward to. , talking to more people about that. , the next thing I would say is tele-health. Yeah. Tele-health was not a major portion of the conversation. And that really warms my heart.

It means that tele-health has sort of, , gotten into the table stakes kind of part of the journey. And what that means to me is we can start to focus in on the things we need to integrating. Tele-health. More cleanly into the workflow, looking at the areas where it was most effective during the pandemic and increasing its use in those areas.

And I think the other. Part is easy telehealth, right? So we had a lot of failed calls. We now have processes in front of the actual. Interaction with the clinician. To make sure that those calls go through and we're seeing one click tele-health. So that it is just a lot easier to have those calls.

Sit up. , home-based care. I see a evolving and growing. , it's, , definitely a. Central part of the conversation for most health systems. And I think what I would say around this is I'm seeing. Strategic partnerships form between health systems and companies that can help deliver those services. And that's good because these services are extremely hard to deliver.

, as a health system, it's not part of our DNA. It's not part of our core competency. And these partnerships be they services, partnerships or technology partnerships. , or, or even clinical partnerships with workflows developed specifically for home-based care. Are going to take us further, faster. I believe.

, let's see nurses have solutions. This is an interesting one. I spend a lot of time in the nursing informatics. Group listening to some of the presentations. And my, my note here is nurses have solutions, give them a prominent seat at the digital table. And what I mean by that is. I was very impressed. I was impressed with how they're using data. I was impressed with how they're using virtual solutions to train new nurses, to address the, , clinical staffing shortages.

, they have ideas and ideas that I believe are very pragmatic because they live. Right at that intersection of the patient and the health system. And so I believe, you know, you want your best ideas at the table when you're looking at digital solutions, evaluating digital solutions, thinking of new digital solutions, and the nurses need to have that prominent seat.

I believe , that has been growing, but in the off chance that you're listening to this and nurses are not in a prominent seat at that table. , get them there. The last thing I will say is this. I didn't run into a lot of cyber professionals, but the ones I did run into, they look tired.

And we need to be aware of that. We need to be aware of the strain that's going on on our health, it staff across the board and to provide them. , opportunities for downtime for rest. , you know, I, I find I don't do not rest until the second week. I'm on vacation. And I have to do it two weeks in a row. The first week, my mind is still processing work and all the stuff that was still going on prior the second week, I finally get some rest.

, our cyber professionals need some rest. They've been on high alert for the better part of two years and no one functions that way. , well, and I hope that that message gets out there and we take care of that group. They're a hard group to replace for starters. , but they're also a valued part of the team. So please take care of those professionals. All right. That's all for today. If you know of someone that might benefit from our channel, please forward them a note. They can subscribe on our website this week, or wherever you listen to podcasts, apple, Google, overcast, Spotify, Stitcher, you get the picture.

Don't forget, we're going to be dropping these interviews that we've been doing over the last couple of days. Well into, I mean, for the next three, three or four weeks, potentially, I'm going to, I'm going to keep dropping them on Saturday and Sunday. I'm not going to do two a day. I've dropped one a day.

, and drop them on Saturday and Sunday. That way we'll just continue the process until they're all done. And then we will get back to me talking about the news. We want to thank our channel sponsors, who are investing in our mission to develop the next generation of health leaders, Gordian dynamics, Quill health tau 📍 site nuance, Canon medical, and current health.

Check them out at this week. Thanks for listening that's all for now

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